This IDC Health Insights report and its sister report, Vendor Assessment: Health Plans Seeking Stars, Adding Analytics Solutions for Medicare Advantage (August 2012), describe important five-star analytics solutions that help health plans compete in the Medicare Advantage market. Health plans are adopting these solutions because they help to earn valuable bonuses and consumer-oriented recognition against the government's five-star quality performance metrics. These bonuses are especially valuable against a backdrop of declining reimbursement rates.
Sven Lohse, research manager, Healthcare, with IDC Health Insights, says, "These solutions are quickly becoming a business requirement for current MA programs. In addition, we expect such five-star tools and capabilities will be useful to health plans as they cultivate MA- and non-MA-based business that is based on quality metrics (e.g., ACOs) and consumer-oriented business that will be transacted on health insurance exchanges."
The Five-Star Program
Key Offering Functionality
Overview of Offerings
General Dynamics Information Technology (Formerly ViPS)
Health Dialog (Bupa)
Inovalon (Formerly MedAssurant)
OptumInsight (UnitedHealth Group)
Verisk Health (Verisk Analytics)
Actions to Consider